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COBBLESTONE CROSSINGS HEALTH CAMPUS

Overall Rating

Address

1850 E Howard Wayne Dr

Terre Haute, IN 47802

Contact

8122320406

Certification Date

2008-10-10

Details

CMS Certification Number

155772

Ownership Type

Non profit - Other

Number of Certified Beds

60

Average Number of Residents per Day

44.0

Provider Type

Medicare and Medicaid

Legal Business Name

PUTNAM COUNTY HOSPITAL

Affiliated Entity Name

TRILOGY HEALTH SERVICES

Affiliated Entity ID

524

Ratings

Health Inspection Rating

3

Quality Measure Rating

4

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.46001

Reported LPN Staffing Hours per Resident per Day

0.46320

Reported RN Staffing Hours per Resident per Day

0.96054

Reported Total Nurse Staffing Hours per Resident per Day

3.88375

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.48591

Registered Nurse Hours per Resident per Day on the Weekend

0.61115

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00054

Quality Measures

Long-Stay Quality Measure Rating

4

Short-Stay Quality Measure Rating

5

Inspections

Total Weighted Health Survey Score

31.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

7

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-05-23

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2022-02-23

Total Number of Health Deficiencies

11

Number of Standard Health Deficiencies

8

Number of Complaint Health Deficiencies

3

Health Deficiency Score

48

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

48

Rating Cycle 3

Standard Health Survey Date

2019-06-26

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

8

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

8

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

9750.00

Number of Payment Denials

0

Total Number of Penalties

1